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1376812040
RONDA ELLEVOLD
MAPLEWOOD, MN
NPI
1376812040
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MN 1460)
Enumeration Date
2011-12-23
Last Update Date
2011-12-23
Business Address
-- RONDA ELLEVOLD ATC
1600 SAINT JOHNS BLVD STE 101
MAPLEWOOD, MN 55109-1190
Phone number: 651-968-5200
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Mailing Address
-- RONDA ELLEVOLD ATC
1600 ST. JOHNS BLVD #101
MAPLEWOOD, MN 55109
Phone number:
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